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Dr. Grey AI

Protocol · Sports & Performance

Running Performance Protocol

Caffeine and Beetroot Juice (Nitrate) are the core of this stack, with 2 supporting supplements. Each row gives the amount the protocol lists and the grade our evidence database holds for that supplement in Running Performance.

We are re-verifying the studies cited on protocol pages; only confirmed citations are shown.

The stack

4 supplements · 2 graded

Amount listed in this protocol; not a recommendation.

Supplements in the Running Performance protocol, with the amount the protocol lists, the grade on file and confirmed studies
GradeSupplementAmount listedWhy it’s in the stackEvidence on fileShop
Primary stackThe core of this protocol
CaffeineAmount listed: 3–6 mg/kg body weight, 30–60 min pre-run

Reduces perceived exertion, enhances fat oxidation, and improves running economy and endurance

  • Anaerobic Capacity: improves
  • Reaction Time: improves
  • Blood Lactate (Exercise): changes; see studies
  • Heart Rate: changes; see studies
  • Power Output: improves
Grade C for Anaerobic Capacity5 studies · 10 people
Beetroot Juice (Nitrate)Amount listed: 6–8 mmol nitrate 2–3h pre-run

Increases nitric oxide, improving oxygen efficiency and running economy by 3-5%

  • Aerobic Exercise Metrics: improves
  • Heart Rate: improves
  • Oxygen Cost of Exercise: improves
  • Rating of Perceived Exertion: improves
Grade B for Aerobic Exercise Metrics20 people
Supporting stackListed as additions to the core
IronAmount listed: 18–65 mg daily if deficient (with vitamin C)

Essential for hemoglobin and myoglobin oxygen transport; deficiency impairs endurance performance

  • Aerobic Exercise Metrics: improves
Not graded yet
Tart CherryAmount listed: 8–12oz juice or 480 mg extract twice daily around hard sessions

Reduces muscle damage and inflammation, accelerating recovery between training sessions

Not graded yet

Shop the evidence-backed picks

Fullscript collectionMuscle, performance and healthy ageing: evidence-graded picksOpen on Fullscript

Or shop one supplement

The supplement in this protocol graded A or B. Each opens third-party tested products, matched to the dose above where we can.

  • Grade B

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How this protocol works

In plain language

Running performance depends on aerobic capacity (VO2max), running economy (how efficiently you use oxygen), and the ability to sustain a high percentage of max effort. For distance runners, recovery between training sessions is also critical for maintaining high training loads.

  • Caffeine is the most proven legal performance enhancer for runners. It reduces how hard a given pace feels (lower RPE), increases fat burning (preserving glycogen), and improves focus during long efforts. Marathon runners, 5K racers, and ultramarathoners all benefit. A typical improvement is 1-3% in race times.
  • Beetroot Juice (Nitrate) improves running economy—the oxygen cost of running at a given pace. By enhancing how efficiently your muscles use oxygen, you can run faster at the same effort level or maintain your pace with less strain. This is particularly valuable in the final miles of a race.
  • Iron is critical for runners because it carries oxygen in your blood (hemoglobin) and stores it in your muscles (myoglobin). Distance runners, especially women and those with heavy training loads, are prone to deficiency. Even mild deficiency impairs performance. Get your ferritin tested—optimal is 30-50+ ng/mL.
  • Tart Cherry accelerates recovery by reducing inflammation and muscle damage after hard runs. Studies in marathon runners show faster strength recovery and reduced soreness.

Expected timeline: Caffeine works within 30-60 minutes. Beetroot juice peaks at 2-3 hours. Iron repletion takes 3-6 months if deficient. Tart cherry is most effective used around key workouts and races.

Printed from drgrey.ai/protocols/running-performance. For education only; not medical advice. Talk to a clinician before starting any supplement.